<!DOCTYPE html>
<html>
<head>
<meta charset="UTF-8">
<title>外国籍船舶或飞机从事海上搜救审批申请</title>
<!-- bootstrap table js -->
<script src="../bootstrapTable/dist/bootstrap-table.js"></script>
<script src="../bootstrapTable/dist/locale/bootstrap-table-zh-CN.js"></script>
<script src="common.js"></script>
</head>
<body>

	<div class="panel panel-primary">
		<div class="panel-heading">
			<h3 class="panel-title">申请单信息</h3>
		</div>

		<div class="panel-body">
			<form id="Business">
				<table class="table table-bordered">
					<tbody>
						<tr>
							<td style="width:130px; text-align: right; background-color: #eee; ">
								报送机构：<span style="color:red;">*</span>
							</td>
							<td colspan="5">
    							<input style="width: 200px;" type="text" class="form-control" id="org" placeholder="请选择报送机构">
							</td>
						</tr>
						<tr>
							<td style="width:130px; text-align: right; background-color: #eee; ">
								搜救船舶或飞机：<span style="color:red;">*</span>
							</td>
							<td colspan="5">
								<input type="text" class="form-control" name="rescuename" placeholder="请输入搜救船舶或飞机" />
							</td>
						</tr>
						<tr>
							<td style="width:130px; text-align: right; background-color: #eee; ">
								搜救时间：<span style="color:red;">*</span>
							</td>
							<td style="width: 218px;">
								<input type="date" class="form-control" name="rescuetime" placeholder="请选择搜救时间" />
							</td>
							<td style="width:130px; text-align: right; background-color: #eee; ">
								搜救地点：<span style="color:red;">*</span>
							</td>
							<td colspan="3">
								<input type="text" class="form-control" name="rescuesite" placeholder="请输入搜救地点" />
							</td>
						</tr>
						<tr>
							<td style="width:130px; text-align: right; background-color: #eee; ">
								搜救范围：<span style="color:red;">*</span>
							</td>
							<td colspan="5">
								<textarea class="form-control" rows="3" name="rescuearea" placeholder="请输入搜救范围" ></textarea>
							</td>
						</tr>
						<tr>
							<!-- <td style="width:130px; text-align: right; background-color: #eee; ">
								所属国：<span style="color:red;">*</span>
							</td>
							<td>
	   							<input type="text" class="form-control" name="country" placeholder="请输入所属国">
							</td> -->
							<td style="width:130px; text-align: right; background-color: #eee; ">
								联系人：
							</td>
							<td>
    							<input type="text" class="form-control" name="contactperson" readonly="readonly" />
							</td>
							<td style="width:130px; text-align: right; background-color: #eee; ">
								联系电话：
							</td>
							<td style="width: 218px;">
    							<input type="text" class="form-control" name="contactphone" readonly="readonly" />
							</td>
						</tr>
						<tr>
							<td style="width:130px; text-align: right; background-color: #eee; ">
								代理人情况：
							</td>
							<td colspan="5">
								<textarea rows="3" class="form-control" name="agentsituation" placeholder="请输入代理人情况" ></textarea>
							</td>
						</tr>
					</tbody>
				</table>
            </form>
		</div>
	</div>
</body>
</html>